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Hospitals, aged care and disability

Private hospital financial model, built free.

A three-statement Excel model for a private hospital operator, built from your own figures and checked to balance.

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We use generative AI in parts of our process, so mistakes can occur. Every model should be checked by a person before it is relied on. Read more

The business

Earns fees from health insurers, governments and patients for admitted episodes, driven by beds, occupancy, length of stay and theatre activity.

In short

  • 01

    Three linked statements

    Income statement, balance sheet and cash flow, linked in every period.

  • 02

    Valued two ways

    Discounted cash flow and trading multiples, side by side.

  • 03

    Monthly to annual

    Monthly, quarterly, half-yearly or annual periods, for up to 30 years.

  • 04

    Checked every period

    A Checks sheet shows the balance sheet balances and the cash reconciles.

The sample

The sample, as Excel draws it.

Built by the same system and checks as yours, on illustrative figures: every sheet as Excel draws it, or live.

Annual · 10 years · Low detail
Private hospital sample model.xlsx
The Summary sheet of the sample private hospital model

Illustrative figures: the sample describes no real business. The live preview shows values; your model’s Excel file has every formula.

How it works

How the model works for a private hospital.

  1. How it earns revenue3 formulas
    Patient revenue by payer · All hospitals
    Patient revenuePrivate health insurer revenueDVA and state contract revenueCompensable revenueSelf-funded revenue
    Revenue cycle deductions · Across the business
    Total not expected to be collectedHealth funds and insurersGovernment payersCompensable and other third partiesSelf-pay and patient gaps
    Revenue cycle deductions · Across the business
    Expected credit losses (operating expenses)Total not expected to be collectedShare of the shortfall shown as expected credit losses
  2. What drives its costs3 formulas
    Staffing and wages · All hospitals
    Hospital staff costsWard nursing costsTheatre, allied health and support staff costs
    Medical consumables and prostheses · All hospitals
    Medical consumables and prosthesesWard consumables and drugsSurgical consumables and prostheses
    Operating expenses · Across the business
    Total FTEsOperations and deliverySales and marketingTechnologyFinance, HR and administration
  3. What it invests in3 formulas
    Bed and room development · All development projects
    Development capexDevelopment cost still to spendShare of the remaining cost spent in the period
    Bed and room development · All development projects
    Closing book valueOpening book valueDevelopment capexDepreciation of completed works
    Corporate fixed assets
    Capital expenditureRevenuefrom statementsCapex as % of revenueAdditional planned capex
  4. How it is funded3 formulas
    Debt
    RepaymentsScheduled repaymentsPrepayments from an equity raise and the cash sweep
    Debt
    Closing balanceOpening balanceDrawdownsRepayments
    Debt
    Interest expenseOpening balanceAll-in interest rateshare of the year
  5. How profit becomes cash3 formulas
    Working capital
    Trade receivablesRevenuefrom statementsDebtor daysDays in period
    Working capital
    InventoryDirect costs (positive)from statementsInventory daysDays in period
    Working capital
    Trade payablesCash operating costs (positive)from statementsCreditor daysDays in period
What it covers

23 parts, each one tested.

Every part is a tested building block with its own checks: yours is put together from the ones your business needs.

  • CPI forecastConsensus curve with long-run anchor
  • Operating expensesHeadcount build by function
  • Corporate costsFixed cost base indexed to CPI
  • Working capitalFull working capital
  • Income taxCorporate rate with tax losses
  • Corporate fixed assetsStraight-line over remaining life
  • DebtAmortising term loan
  • Equity raisingDistribution reinvestment plan
  • Dividends and distributionsPayout of net profit
  • Discounted cash flow valuationDCF on free cash flow to the firm
  • Multiples valuationEV / EBITDA multiple
  • Medical equipment capex and replacementEquipment register with replacement datesCapex, depreciation and book value of major medical equipment — imaging modalities, linear accelerators, dialysis machines, theatre and laboratory equipment — replaced on its own cycle.
  • Medical indemnity and professional liabilityInsurance premium per exposure unitInsurance and self-insured claims for medical malpractice and professional liability.
  • Revenue cycle deductionsExpected collection rate by payerThe step from billed or contracted revenue to what is actually collected — contractual allowances on gross charges, implicit price concessions on patient balances, claim denials and third-party settlements — for providers billing insurers and patients claim by claim.
  • LeasesLease register
  • Key-metric summaryLast-twelve-month and run-rate metrics
  • Covenant tests and headroomLVR, gearing and ICR for property
  • Case selectionStackable stress toggles
  • Bed and room developmentCost per bed over the build periodConstruction or refurbishment capex that adds or upgrades beds, places, theatres or rooms, and the depreciation of completed works.
  • Capacity and activityTheatre sessions × utilisationBeds, theatres and occupancy, and the admissions and patient days they produce.
  • Patient revenue by payerPayer mix × rateFees earned from health insurers, governments, compensable schemes and self-funded patients for hospital episodes.
  • Staffing and wagesNursing hours per patient dayNursing, theatre, allied health and support staff costs driven by staffing ratios and wage rates.
  • Medical consumables and prosthesesCost per patient day and per theatre caseMedical and surgical supplies, prostheses, drugs and other consumables used in patient care.
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See a finished model, sheet by sheet

The sample is built on illustrative figures and describes no real business. Models are calculations prepared from the information you provide. They are not financial advice and must be independently verified. See our terms.